Active NPI
South Shore Nuclear Diagnostics@Nassau
- Radiology Clinic/Center
- Oceanside, NY
National Provider Identifier
1740381607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- SOUTH SHORE NUCLEAR DIAGNOSTICS@NASSAU
- Practice address
- One Healthy Way
Oceanside, NY 11572 - Phone
- (516) 632-3393
- Fax
- (610) 993-1651
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yvette D Gay-Jenkins
- Title
- Credentialing Supervisor
- Phone
- (610) 993-1640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
One Healthy Way
Oceanside, NY 11572
Mailing address
43 Leopard Rd
Suite 200
Paoli, PA 19301-1552
Phone (610) 993-1640
National Provider Directory
National Provider Directory- Tax ID family
- South Shore Nuclear Diagnostics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Rockville Centre, NY
- NPI 1154300259
-
- Radiology Clinic/Center
- Rockville Centre, NY
- NPI 1912976119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740381607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 LEOPARD RD",
"address_2": "SUITE 200",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011552",
"telephone_number": "610-993-1640",
"fax_number": "610-993-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "11572",
"telephone_number": "516-632-3393",
"fax_number": "610-993-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE NUCLEAR DIAGNOSTICS@NASSAU",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GAY-JENKINS",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
"authorized_official_telephone_number": "610-993-1640",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
- South Nassau Neonatal Services, PC
- South Nassau Oncology, PC
- South Nassau Physician Group PC
- South Nassau Radiology PC
- South Nassau Walk-in Medical Care, P.C.
- South Shore Radiation Oncology Associates P C
- South Shore Surgical Pain Management, PC
- Olufemi Soyemi, MD
- Spectorcon Opticians Inc.
- Speech of Li LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.